Doctor insights on:
Stress Test Vs Cardiac Catheterization
Depends on situation: Nuclear stress test involves looking at perfusion of heart for defective areas representing coronary artery disease looking for areas of permanent damage versus areas that are reversible possible related to area of coronary narrowing. Coronary ct angiogram looks at anatomy of coronary arteries looking for areas of narrowing and blockage.Answer depends on information physician needs and insurance. ...Read more
Stress affects most people in some way. Acute (sudden, short-term) stress leads to rapid changes throughout the body. Almost all body systems (the heart and blood vessels, immune system, lungs, digestive system, sensory organs, and brain) gear up to meet perceived danger. These stress responses could prove beneficial in a critical, life-or-death situation. Over time, however, repeated stressful situations put a strain on the body that may contribute to physical and psychological problems. Chronic (long-term) stress can have real health consequences and should be addressed like any other health concern. Fortunately, research is showing that lifestyle changes and stress-reduction techniques can help people learn ...Read more
Had echocardiogram, nuclear stress test w cardiolite, EKG and 30 day holter. Does the echo and nuclear test rule out CAD or any potential blockages?
Low vs ?Higher Value: Stress tests only capable of detecting very advanced disease, ?chances of heart attack & do nothing to solve issues (i quit doing these 1995). Angiogram with PTCA option has risks (usually small) but can see problems & offers opportunity to open arteries & decrease symptoms at same time. The bigger issues are optimizing lipoproteins (nmr particle test), hba1c & bp, etc. To ??? disease progression. ...Read moreSee 1 more doctor answer
Best non invasive test to check coronary arteries? Ct angio, stress echo and cardiac MRI MRA? Any better non invasive testing to check coronary art?
Tests: Each of the tests listed has specific strengths and weaknesses. The choice of study depends on the specific information desired by the ordering physician and the capabilities of the performing laboratory. CT angio in many cases will produce the best images of the arteries of the three, MRA has its specific indications and stress echo doesn't show the vessels but shows the effects of serious ischem ...Read more
A screening test: Stress tests are largely done to identify patients at risk for heart attacks. For patients who cannot exercise due to arthritis or other reasons, Dobutamine is a drug that will mimic exercise, and allow a stress test to be done. It is not as good as exercise, but it is a reasonable alternative if exercise is not possible. ...Read more
Spect images demonstrate inferior and apical reversibility from my nuclear stress test. Is a cardiac catherization must be done?
Not enough data...: Inferior ; apical reversibility means there is some ischemia in those regions. Without seeing the images it is difficult to tell how much. If there is very mild ischemia, some cardiologists may decide to do medical management (only medicines). If there is any significant amount of ischemia, cardiac catheterization is usually done. Again, it depends on the clinical scenario..Not enough data. ...Read moreSee 1 more doctor answer
nuclear stress: All tests have sensitivity and specificity and each lab has its own data. In the best labs these values for this test are >85% sens/spec., there are many technical factors. We choose tests by the information needed and the best test o get us what we need to know. ...Read moreSee 2 more doctor answers
I had nuclear stress study done & interpretation states: Sm reversible ischemia, inferior wall. Ejection fraction 51%. is heart cath needed?
Is cardiac MRI stress testing safer than cardiac angiogram? I'm really worried about my MRI stress test tomorrow.
Yes, since: MRI is relatively noninvasive, and angiogram requires catheterization. The tests do not provide the same information, however. MRI looks for ischemic or infarcted myocardium, which cannot be readily diagnosed on angiography. Each test has its own limitations and indications. ...Read moreSee 1 more doctor answer
Cardiology: What can an alternative to having a cardiac treadmill or nuclear injection stress test? A calcium score?
Not exactly the same: Different type of stress test are available (ekg treadmill, pharmacological or treatmill echo, pharma or treadmill nuclear). They all try to answer one question: are there blockages in the artery of the heart that cause insufficient blood supply to the heart under stress? Calcium score tells you what is the burden of atherosclerosis (the disease that causes blockages in the artery) in your artery. ...Read moreSee 2 more doctor answers
Stress ECG abnormal but coronary angiogram normal, any other test (e.G echo) to ruled out underlying heart disease?
Stress tests: Have higher false positive (and false negative) rate than we'd like to admit. Try getting a session of multifunction cardiogram instead. It is a very accurate stress, radiation and drug free heart test! http://en.M.Wikipedia.Org/wiki/multifunction_cardiogram. ...Read moreSee 1 more doctor answer
What type of doctors perform pulmonary function tests/exercise stress test/cardio-pulmonary stress tests?
Cardiologist: Cardiologist and pulmonary specialist.Get a more detailed answer ›
Besides a cardiac cath test what are the best tests to check if your heart is healthy ? Stress echo & calcium scoring ?
Hard questions: And at your age you must have some reason to believe there is a problem with your heart. Why don't you schedule a visit with your doctor and discuss that and any risk factors you may have for premature heart disease. A discourse on various cardiac tests is academic without specific issues and objective findings. ...Read more
I have had regular stress test. Nuclear stress test echocardiogram and heart catherization. All normal what's chance missed blockage or pulm htn?
Echocardiogram, cardiac stress test, Coronary CTA, chest X-Ray... Do these tests rule out structural heart disease? What can cause NSVT if all normal?
Probably not: A cardiac echo/Doppler study would show pulmonary HTN changes by viewing the right ventricular function , size and pressure. There are additonsl studies that can also be done. It is very important to know WHY you have Pulmonary HTN. If due chronic Pulmonary embolism it is a serious situation for which there exists very effective Rx. Other causes can also be treated. Consult your doc. ...Read more
Would structural heart disease in 22 yr old be ruled out by echo, ecg, cardiac mri, stress ecg, 24h ecg, cardiac coronary anatomy mra?
Well...: Since you had a cardiac nuclear scan, I assume your doctors were looking for coronary artery disease. You seem to be a smoker, which makes artery disease worse. So smoking is not a good thing for you, and you should try to stop. Having said that, you are probably not in any more immediate risk for heart problem for smoking after the nuclear exam. Long term risks are greater with smoking. ...Read moreSee 2 more doctor answers
This is a procedure where narrow, flexible tubes are inserted into a peripheral artery through a cut in the skin, and advanced to the heart. Dye can be injected through the catheters into the arteries of the heart to look for blockages ("angiogram"), or to measure pressure within the cardiac chambers ("right heart cath"). Arteries can be opened with balloons/stents at the ...Read more
A stress test is a cardiac test which can include walking on a treadmill and monitoring your heart while you are walking. They can also inject you with a nuclear material and do a more comprehensive scan on your heart to check for blockage. They can also do a chemical stress test which omits the need to ...Read more
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